Uroteliomi Della via Escretrice Superiore: Approccio Combinato Chirurgico E Transuretrale

Abstract

The Authors report their experience in the treatment of transitional cell carcinomas of the upper urinary tract using a conjoint surgical and transurethral, approach. Via a lumbotomic incision, a standard nephroureterectomy down to the iliac vessels is first performed; then, a stent is inserted in the ureteral stump, pushed into the bladder and fixed to the ureter with a single silk suture. Once the lumbotomy has been closed, a cystoscopy is performed; the stent, previously advanced out of the ureteral meatus is identified and withdrawn, thus obtaining intussusception into the bladder. After this manoeuvre using the Collins blade, the perimeatal mucosa is incised in order to disconnect the ureter and complete the ureterectomy. Finally, a Foley catheter is inserted and left in place for seven days.